Eye tilt caused by subperiosteal midface lift. What are my options to fix this issue? (Photos)

Question

I got a brow lift and a subperiosteal midface lift done around 1 year ago. The mid face lift was recommended to only be done on the right side to fix assymetry between the left and right side of my face. The brow lift were secured by 3 endotine devices. But after the face lift it gave my right eye an upwards tilt. What are my options to fix this issue ? It looks a lot more obvious in pictures

Ronald J. Edelson, MD · Answer

Asymmetry is quite common and is very difficult to perfectly correct.  I think  your symmetry is good and would not advise any further surgery

Mats Hagstrom, MD (license on probation) · Answer

The human face is a symmetrical.
No person has facial symmetry.
During embryological development, the two sides of the face develop independently from each other and eventually fuse in the midline.
What determines most of facial aesthetics and each persons unique look is primarily based on bone structure.
The asymmetry is therefore Based on your skeletal structure, not the soft tissue coverage.
Any attempt at correcting asymmetry which is based on bone structure with soft tissue manipulation will lead to a new different asymmetry which often doesn’t counter the original problem.
In other words, the patient simply ends up with two different asymmetry one that is original based on bone structure and a new one from soft tissue manipulation by the surgeon.
Most of the time it doesn’t turn out.
The human brain is accustomed to seeing asymmetry as being normal.
If you see images of computer generated perfectly symmetrical faces, they have an odd and unfamiliar appearance.
That’s because we’ve never seen a person who has symmetry.
 Natural beauty is never based on symmetry, but rather on balance.
Go into any museum of art and you’ll find very very few artworks with classical or Martin that are symmetrical.
Almost all beautiful things are a symmetrical.
For this reason, I usually don’t encourage people to treat asymmetry unless it is so severe that it causes people to give it a second look and that’s pretty rare.
If other people‘s eye is not drawn to the symmetry, then it’s usually not significant enough to warrant intervention.
I say that because treating asymmetry is highly complex and usually requires craniofacial surgery. It’s not at all uncommon to have one eye socket sit higher than the other or have a different canthal tilt.A quality assessment requires quality information.
I respect the desire to maintain and committee, but for facial aesthetics, we need to see everything in context, and that means showing the entire face.
Everything looks the way it does in relationship to surrounding areas.
Your situation is complex enough that you should probably rely exclusively on in person second opinion consultations.
For second opinion consultations come prepared to bring with you a complete set of proper before and after pictures and a copy of your report.
These are part of your medical record that you can request from your current provider.
Best,
Mats Hagstrom MD

Eye tilt caused by subperiosteal midface lift. What are my options to fix this issue? (Photos)

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Eye tilt caused by subperiosteal midface lift. What are my options to fix this issue? (Photos)

Answers (2)

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